Souphaphone Nicksic, CNA

CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

745 Fletcher Dr

Suite 202

Elgin, IL 601234749

(847) 888-1300

**NPI:** 1740425701

**Med School:** OTHER

**Experience:** 16 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

ILLINOIS GASTROENTEROLOGY GROUP LLC

745 Fletcher Dr, Suite 202
Elgin, IL 601234749

Phone: (847) 888-1300

**Group ID:** 5193857423 | **Group Size:** 99 members

ADVOCATE HEALTH AND HOSPITALS CORPORATION

1425 N Randall Rd
Elgin, IL 601232300

Phone: (847) 742-9800

**Group ID:** 7810800935 | **Group Size:** 2682 members

ADVOCATE SHERMAN HOSPITAL Type: Hospital
1425 NORTH RANDALL ROAD
Phone: (847) 742-9800
Medicare CCN: 140030 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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